Failure to Accurately Complete PASRR Identification Screen for Mental Illness Diagnoses
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) Identification Screen was completed accurately to reflect all of a resident's mental illness diagnoses. Specifically, a resident admitted with diagnoses including paranoid schizophrenia, bipolar disorder, anxiety disorder, and other specified depressive disorder had a PASRR Identification Screen completed for a significant change in condition. During this assessment, the assessor did not check the box for a mood disorder, despite the resident having a diagnosis of bipolar disorder, which qualifies as a mood disorder. This omission resulted in the PASRR not accurately reflecting the resident's mental health status at the time of the review. A subsequent self-audit by the Social Service Designee (SSD) identified the inaccuracy in the previous PASRR screen, leading to the completion of a new PASRR Identification Screen that correctly included the mood disorder diagnosis. The SSD acknowledged that audits of PASRRs were conducted every three to four months, but the inaccurate PASRR had not been identified or corrected in a timely manner. The facility's policy required accurate completion of PASRRs upon significant changes in condition, but this was not followed in this instance, resulting in the deficiency.